Provider Demographics
NPI:1316237316
Name:JOHANNES-BEECHER, CYNTHIA (RPH)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:JOHANNES-BEECHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 S. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361
Mailing Address - Country:US
Mailing Address - Phone:717-235-6854
Mailing Address - Fax:
Practice Address - Street 1:577 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1737
Practice Address - Country:US
Practice Address - Phone:717-235-6854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-033588L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist